Individual
NICHOLAS J MASONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
229 S STEWART RD STE E-3, LIBERTY, MO 64068-4206
(816) 656-3695
(816) 656-3696
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022023908
MO
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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